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Grey's Anatomy

Grey's AnatomyABC

Season 20, Episode 10

11 medical diagnoses portrayed

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Also known as: Torn main artery

HemorrhageDeath

Garrett, a record shop owner scheduled for elective AAA repair, experiences rupture while waiting. Despite successful initial repair by interns, he dies from anastomotic complications, becoming a central tragic case of the episode.

Also known as: Trampled

Cardiac tamponadeHemorrhagic shockVascular injuryPelvic instability

Firefighter Theo Ruiz is crushed by a tree branch while saving another firefighter. He sustains severe abdominal crush injury, unstable pelvis, femoral fracture, and cardiac tamponade requiring emergency thoracotomy in the hallway. His case drives major emotional stakes as a firefighter and family member to the hospital staff.

Grey's Anatomy — S20E10Patient: Theo Ruiz

Also known as: Blood around the heart

Pulseless electrical activityCardiac arrest

Theo develops cardiac tamponade from his crush injuries, causing PEA arrest. Teddy performs an emergency thoracotomy in the hospital hallway to release the pressure and save his life in a dramatic scene.

Grey's Anatomy — S20E10Patient: Theo Ruiz

Also known as: SMA tear

Hemorrhagic shockIschemic bowel

During surgery for Theo's crush injuries, surgeons discover his superior mesenteric artery has been torn from the aorta, causing massive bleeding that nearly kills him.

Grey's Anatomy — S20E10Patient: Theo Ruiz
Femur fracturesupporting

Also known as: Broken thigh bone

Vascular compromise

Theo sustains a femoral fracture with vascular compromise from the crush injury, requiring urgent vascular repair to save his leg and prevent amputation.

Grey's Anatomy — S20E10Patient: Theo Ruiz
Pelvic fracturesupporting

Also known as: Broken pelvis

HemorrhageHemodynamic instability

Theo has an unstable pelvis from the crush injury, contributing to his overall critical condition and hemorrhagic shock.

Grey's Anatomy — S20E10Patient: Theo Ruiz

Also known as: Asthma attack

BronchospasmRespiratory distress

Molly presents with asthma exacerbation from wildfire smoke inhalation. She is Lucas Adams' former fiancée who lost her memory after a coma and doesn't recognize him, creating emotional tension.

Grey's Anatomy — S20E10Patient: Molly Tran

Also known as: Smoke inhalation

Respiratory compromise

Molly suffers smoke inhalation from the wildfire, compounding her asthma symptoms and requiring nebulizer treatment.

Grey's Anatomy — S20E10Patient: Molly Tran

Also known as: Memory loss

Loss of personal memoryDepression

Molly has retrograde amnesia from a car accident years ago that left her in a month-long coma. She cannot remember her past life, including her fiancé Lucas Adams, creating a poignant subplot.

Grey's Anatomy — S20E10Patient: Molly Tran
Pregnancysupporting

Also known as: Unplanned pregnancy

Jo Wilson faints during the wildfire crisis and discovers she is pregnant when her lab results come back, surprising both her and Link in a significant character development moment.

Grey's Anatomy — S20E10Patient: Jo Wilson
Syncopesupporting

Also known as: Fainting

Jo faints in the NICU during the crisis, leading to the discovery of her pregnancy. The cause is attributed to exhaustion and poor air quality.

Grey's Anatomy — S20E10Patient: Jo Wilson